VOLUNTEER APPLICATION FORM

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Date of Application

Name

Address

Postcode

City

State

Mobile

Email Address

Preferred method of contact

Current occupation / study

Work

Study

Full time

Part time

Details

Work

Study

Full time

Part time

Details

Emergency Contact Details:

Name

Phone 1:

Phone 2:

Relationship to you:

Referees. Please provide the name and contact details of at least two referees:

Referees Contact Details 1:

Name

Phone 1:

Phone 2:

Relationship to you:

Referees Contact Details 2:

Name

Phone 1:

Phone 2:

Relationship to you:

Referees Contact Details 3:

Name

Phone 1:

Phone 2:

Relationship to you:

Experience and qualifications. Please provide details of experience relevant to this role

Please tick any of these skill areas if they relate to you:

Training or education in teaching or tutoring

Experience teaching or tutoring school students

Experience teaching English as a Second Language

Experience working with young people

Experience working with people from refugee or migrant backgrounds

Speciality knowledge in a particular subject area. Please specify:

Please elaborate on these experiences in the space below:

Languages spoken

Other voluntary work

Hobbies / Interests

Why are you interested in becoming a CENTHRA Write4Humanity volunteer?

Please indicate your availability in the space below

Day:

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Time of availability:

Where did you hear about this program?

Personal Information:

Age

<18

18-25

26-35

36-45

46-55

55+

Gender

Male

Female

Language spoken at home?

Highest education qualification achieved?

Privacy statement:

The personal information on this form is being collected for the purposes of recruiting and selecting volunteers wishing to support CENTHRA Write4Humanity Programme. The information may also be required for evaluation purposes. Any evaluation reports developed will not identify individual volunteers by name. This information may be shared with partner organisations and funding bodies.

By choosing tick, I attest that the information supplied is true and accurate.
I understand that submitting this application form does not automatically register me as a volunteer but that there is a selection process. I confirm that I am willing to volunteer to support CENTHRA Write4Humanity Programmes.

CENTHRA BERHAD is committed to the safety and well-being of all children and young people participating in our programme. We support the rights of the child and will act without hesitation to ensure a child-safe environment is maintained at all times. We also support the rights and well-being of our staff and volunteers and encourage their active participation in building and maintaining a secure environment for all participants.

Newsletters

Please tick if you would like to receive newsletters for volunteer work in CENTHRA Programmes.

Please tick agree to submit

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